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ENG2023-0526 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds ENG2023-0526 www.edmondswa.gov i Description: PUD - EMERGENCY REPLACEMENT ALREADY COMPLETED NJUNS 5094686 ISSUED: 11/28/2023 Address: 22609 93RD PL W EDMONDS WA 98020-4516 EXPIRES: 05/28/2024 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00544300003900 i NAME TYPE NAME ADDRESS PHONE APPLICANT MOE MATTHEWS PO BOX 1107, EVERETT WA 98206 (425)783-5681 CONTACT SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-5681 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER JEAN B HOLTROP 22609 93RD PL W, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS $126.00 $126.00 RIGHT-OF-WAY PERMIT - STANDARD $378.00 $378.00 REQUIREMENTS REQUIREMENT TYPE NOTES TRAFFIC CONTROL Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger must be trained as required by WAC 296-155-305 and must have certification verifying completion of the required training in their posession. RESTORATION Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City approved material prior to the end of the workday - No Exceptions WARRANTY The contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the work. INSPECTION SCHEDULING: WWW.MYBUILDING PERMIT.COM 24 HR NOTICE REQUIRED The Applicant has signed an application which states he/she holds the City of Edmonds harmless from injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of granting this permit. RELEASED BY: MAJ DATE: 11/28/2023 Printed: Tuesday, November 28, 2023 11:20:32 AM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NU �!B E City of Edmonds www.edmondswa.gov • • CONDITIONS CONDITION TYPE ALERT RESIDENTS ALERT AFFECTED RESIDENTS AND OR BUSINESSES PRIOR TO WORK START. It is the owner's responsibility to repair/replace all damage of utilities or frontage improvements in DAMAGE TO FRONTAGE City right of Ways or Easements to City Standards caused by or occurring during the permitted IMPROVEMENTS project. MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD ESC REQUIREMENTS REQUIREMENTS. Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the HOLD HARMLESS issuance for this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance provision. SCHEDULE REQUIRED INSPECTIONS AS NOTED THROUGH MY BUILDING PERMIT. INSPECTIONS www.mybuildingpermit.com POTHOLING VERIFY CLEAR BORE CROSSINGS. RESTORE LANDSCAPE Restore landscape to like or better conditions Sound or noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:OOam to 6:OOpm on SOUND AND NOISE weekdays and 10:OOam and 6:OOpm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites and activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. All utilities shall be located prior to any excavation. New locates shall be called for if at time of UTILITY LOCATES excavation, original locates are no longer identifiable. INSPECTIONS INSPECTION TYPE DATE RESULT COMPLETE A-1 JOB START X-2 ENGINEERING FINAL** E-7 TRAFFIC CTRL Printed: Tuesday, November 28, 2023 11:20:32 AM 2 of 2 RECEIVED RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right-of-Wgy permit Handout E6�. OCT 17 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT If any field is not applicable to your project, write "N/A' instead of leaving blank. All fields required. Incomplete Applications will be denied. SECTION A General • Project Name Emergency car pole Site Address or if no site address use Property Address at NW corner of project area: 226o9 93rd Pl W, Edmonds, 98020-4516 Associated Permits: BLD N/A PLN N/A ENG N/A Owner and Entity Holding Name of Company Snohomish County PUD applicable) Franchise Ordinance No: N/A Point of Contact William Graham Title Design Engineer Address 1802 75th St SW City Everett State WA Zip 98203 Phone (360)703 1910 Email permits@snopud.com wlgraham@snopud.com Contractor and Authorized Agent of Owner Name of Company SAME AS ABOVE (see note below) Contractor Contacts During Construction Primary Name Agent Name Title Title Mobile Address Email City State Zip Secondary Name Phone Title Email Mobile City of Edmonds Business License No: NSA Email State License No: 313-005-741 pf Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC18.6o.o2o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. ❑ Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: ❑ Utility Franchise Work associated with development (check one of the above boxes as welt ❑ Traffic Control Only (no associated development) • Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page 1 Of 3 Updated 3/25/2021 Include an overall narrative description of the proposed work. Be specific and detailed: Describe infrastructure to be impacted, such as, poles, wires, conduit, utility mains, etc. Include whether this is construction, maintenance, or repair. Include description of proposed construction methods, (e.g., bores, trenches, overhead wires proposed, depth for underground utilities, etc.) Pole pli i55o sustained woodpecker damage and was replaced with a similar 45-foot class 2 wood pole. The new pole was buried 6.5 ftEDFNILOOHGZLWKFUXVKHGURFN&UHZV UKHDGWUDQVIRUPHU, rebuilt 3" riser, and replaced old overhead streetlight w/ 1ooW LED The existing PUD pedestal was not replaced. :RUNKDVDOUHDG\EHHQFRPSOHIVfMZQpHPHUJHQF\EDVLVVRQRWUDIILFFRQWUROSODQLVLQFO eLQWKU DSSOLFDWLRQThe old pole was left on -site so Ziply could move their equipment to the new pole. Ziply to remove pole once their equipment has been transferred to new pole. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF I x LF SF Alley 72 hours + LF Ix I LF SF Parking 72 hours + LF Ix I LF SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C. 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable ® power ❑ gas ❑ water ❑ sewer ❑ storm Details of Work to be Completed 1. Does the utility owner have existing overhead infrastructure in the area of work? Yes yes No 2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? yes If Yes, describe: Replaced overhead 37 kVA transformer and streetlight 3. Does the proposed work connect a lot or commercial development with utilities that serve more than one lot or commercial development? NO 4. Does the work involve rebuilding or relocating an existing aboveground utility system which connects a lot or commercial development to an existing underground common utility stem? NO 5. Does the work involve proposed additions to an aboveground utility stem? If es: NO Are the additions for the purpose of serving new commercial development? N/A Are the additions for the purpose of serving a single-family residential subdivision? N A Details of Work to be Completed Yes No 6. Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial development? If yes, answer the following questions related to project area, i.e. the actual area in which the yes project is proposed: 6a. Does your project involve wires/cables/lines? If yes: NO How many are existing? 1 5 1 How many are to be added? o City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. Does your project involve poles? If yes: yes How many poles are existing in the project area? 1 What is the height of the existing poles? 45 ft How many poles are to be removed? 0 Are additional poles to be laced? NO How many? I N/A I What is the height of the additionalpoles? N/A 6c. Are any poles to be modified/rebuilt/replaced? If yes: yes How many? 1 1 1 What is the height of the poles after? 45 ft Describe the modification rebuild: Damaged 45-ft class 2 wood pole replaced w/new similar pole SECTION C Traffic Control and Public Safety. Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger must be trained as required by WAC 296-155-305 and must have certification verifying completion of the required training in their possession. Restoration. Restoration shall be in accordance with City codes and Standards. All street cut trench work shall be patched with asphalt or City approved material prior to the end of the workday -NO EXCEPTIONS. Insurance. The City may require the owner or contractor to provide proof of insurance acceptable to the City prior to any permit approval. Indemnification. The Applicant agrees to defend, indemnify, and hold harmless the City of Edmonds, its officials, officers, employees, and agents against any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, including defense costs and attorney fees, resulting directly or indirectly from any act or omission of the Applicant, its subcontractors, anyone directly or indirectly employed by them, and anyone for whose acts or omissions they may be liable, arising out of, related to, or by reason of the granting of this permit; and specifically including but not limited to all loss by the failure of the Applicant to fully or adequately perform, in any respect, all authorizations or obligations under the permit. These indemnification requirements shall survive the expiration, revocation, or termination of any resulting permit approval. Acceptance of terms, conditions, and requirements. Applicant accepts the terms, conditions, and requirements set forth in this Application and agrees they apply to any resulting permit and shall comply with them to the satisfaction of the City Engineer. Applicant further agrees to comply with the conditions listed on the Submittal Requirements; with all applicable city ordinances, including but not limited to ECDC Title 18; and with all applicable requirements of state and federal law. Statement of Applicant. I declare under penalty of perjury under the laws of the State of Washington that: I am a licensed and bonded contractor; the information provided herein is correct and complete; and I am authorized by owner to act on its behalf and have authority to bind the owner to this application. Fees. The Applicant is responsible for all permit fees. APPLICANT SIGNATURE: APPLICANT PRINTED NAME: APPLICANT TITLE: WG !� L�?4 C�L rG.i'i�iL DATE: 10/16/2023 William Graham ineer NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 suowornsw tour*v p...... y PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 22609 93RD PL W LYNNWOOD AREA POLE NO. 1550 SE 1/4S 25 T27 R 3 DATE REASON FOR WORK WOODPECKER DAMAGE ENGINEER CURTIS CONFIRMING SKETCH DRAFTER PLI 1550 45' 1992 DATE WORK COMPLETED 4/4/22 FOREMAN MCCARTY FEES REQ'D ❑ YES ❑ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. '@9 '=$ \ SECONDARY OVERHEAD NESC VIOLATIONS BASIC FEE S ❑ NO ❑ YES (SEE NOTES) @9 I=$ PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE METER/CONY. POLE g PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COUNTY ❑ COMMERCIAL ❑ CITY BASIC FEE ❑ EASEMENTS LEU NO. @$ _$ ❑ REQUIRED ❑ NOT REQUIRED SECONDARY UNDERGROUND BASIC FEE S DATE RELEASED '@$ 1=9 UNDERGROUND PLAT FOREIGN CONTACTS X JPN# BASIC FEE FT.@S =S ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV STREET LIGHTING (� FT.0 =S ❑ POLE STENCILING WORK IN RIGHT OF WAY FROM TO ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY PRE—CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR q FT.@S =S MISCELLANEOUS FEES ❑ BACKHOE ❑ FLAGGING VAULT 3 ❑ ONE CALL DATE PERMIT S No. $ STREET LIGHTING ❑ YES ❑ NO $ RC M&R AS -BUILT $ DPH GIS TOTAL DUE S DM GIS QC L11 &R DATE PAID DPH GIS Ph KW JOINT USE RECEIPT NO. LOCATION MAP PAGE 474-H1 SERVICE ORDER NO. I F(;FNn: O EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE NEW POLE TO REPLACE EXISTING POLE APPROVED Ufl DATE ORDER 100094215 1550 OPERATION 0001 U.G. NO. REPLACED WITH 45' CLS 2 POLE MFR 2020 SCALE NTS DATE PRINTED REMOVED XFMR 37-14350 SERIAL#93A181795 N/A SUBSTATION WSG CIRCUIT NO.12-406 ENGR'S TEL. # ENGR'S CELL # PHASE HUNG 120/240 XFMR 37-265560 SERIAL#92NF087014 1 REMOVED SL-133545-A, HUNG SL-141847-A REUSED EXISTING PED N OLD POLE STILL IN FIELD 2604 I SL-133545-AS 2605 57 37- 50 I P 40 290599 58 39 22609 0 � 4037-65,560 r 2612 � s ;flFNnnc+N s i iM 37-263 2613 59 + 155 2619 60 I 17 Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per city standards that is caused or occurs during the permitted project. ENGINEERING DIVISION APPROVED AS NOTED %Il i,uo%xu..,.,p 11 /21 /2023 VV RECEIVED OCT 17 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT RECEIVED OCT 17 2023 Project Name: Original WO (100094215) has been closed; please use 100106479. CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Scope of Work: Distribution pole had significant woodpecker damage. PUD crews replaced the pole with a similarly sized one (45 ft, cl 2), hung a new 37kVA transformer, and hung a new 10OW LED streetlight. No cuts in asphalt were made. Crews trenched approx. 10ft NW to existing PUD pedestal, covered w/ native backfill. Location: 22609 93rd PI W, Edmonds. (pli 290599) Work area not in critical area/wetlands Which lane direction is being closed: (job has already been worked) Crews would have had to occupy the northbound lane of 93rd PI W to install the new pole and hang the new transformer and streetlight. Hours and Duration at the Location: All work was completed in approx. 12 hours. Traffic control plan: This job has already been worked on an emergency basis, so no traffic control plan is included. Original WO called for an A -crew with 2 flaggers. RECEIVED OCT 17 2023 CITY OF EDMONDS M BuildingPermit.com CITY OF EDMONDS DEVELOPMENT Ri9ht_J)f2 Y0sAF6b16�ioin #1391026-100106479 (After action req 22609 93rd PL W) Applicant First Name Last Name Company Name Moe Matthews Snohomish County PUD Number Street Apartment or Suite Number E-mail Address PO Box 1107 permits@snopud.com City State Zip Phone Number Extension Everett WA 98206 (425) 783-5681 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 22609 93RD PL W City Zip Code County Parcel Number EDMONDS 98020 00544300003900 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Jean B Holtrop Number Street Apartment or Suite Number 22609 93RD PL W City State Zip EDMONDS WA 98020 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 10/17/2023 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1391026-100106479 (After action req 22609 93rd PL W) Project Contact Company Name: Snohomish County PUD Name: Moe Matthews Email: permits@snopud.com Address: PO Box 1107 Phone #: (425) 783-5681 Everett WA 98206 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project 100106479 (After action req 22609 93rd PL W) Name: This is one of several emergency pole replacement jobs in Edmonds that have already been worked on an emergency basis without a permit. A traffic control plan is not included because the work is already complete and work order 100094215 is closed so we are using work order Description 100106479 to apply for this permit. A distribution pole had significant woodpecker damage so of Work: PUD crews replaced the pole with a similarly sized one (45 ft CL 2), hung a new 37kVA transformer, and hung a new 100W LED streetlight. No cuts in asphalt were made. Crews trenched approximately 1Oft NW to existing PUD pedestal, covered with native backfill. Crews would have had to occupy the NB lane of 93rd PL W to install the new pie and hang the new transformer and streetlight. All work was completed in approx. 12 hours. Project Details Project Information Job Number 100106479 Page 2 of 2